Individual
DR. RALPH PARKS WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 BOULDER DR, GRAY, GA 31032
(478) 621-2100
(478) 744-0481
Mailing address
1005 BOULDER DR, GRAY, GA 31032-6141
(478) 621-2100
(478) 744-0481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116366A
—
GA
01
—
080124926
RAILROAD MEDICARE
GA
01
—
619339
BLUSCROSS BLUESHIELD
GA
Enumeration date
09/16/2005
Last updated
03/07/2023
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